1. Surgery 2.Needle aponeurotomy which is a small surgery to cut the cord into multiple segments which can be performed in the office or 3. Xiaflex which is an injection to disolve a portion of the cord. The best choice depends on the location of the cord and severity. Provider experience also comes into play. Judgement comes from experience.
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It depends which position your wrist is in while you are using the device.

The best position is with the wrist in a neutral position. Bending the wrist in extreme directions either forwards or backwards decreases the size of the carpal cannal and will aggrevate your symptoms. The position of the wrist is more important than the type of device you use.
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Your body is not shy about letting you know when you do things it is not happy about.

If your symptoms increase while performing the activity then it is not wise to continue. If avoiding the activity solves the problem great. If not more aggressive forms of treatment is necessary. This requires an evaluation and specific diagnosis.
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